NICHOLAS R BIRNBAUM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011244

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

BIRNBAUM

Business Name

NICHOLAS R BIRNBAUM

Original Issue Date

09/24/2019

Effective Date

09/24/2019

Expiration Date

02/28/2022

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

07/27/2022